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South Carolina rates for HCPCS J9155

Degarelix Injection

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.67 / $1,106.72 / $1,106.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $4.49 / $491.66
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.59 / $8.55 / $15.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $6.55 / $8.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.20 / $4.45 / $5.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.45 / $4.45 / $4.69
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.87 / $4.45 / $8.06
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.87 / $2.87 / $7.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.01 / $11.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.78 / $4.72 / $5.56